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Individual

DAVID K. MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
500 ROUTE 89A, ECRC 1, PRESCOTT, AZ 86313
(928) 445-4860
Mailing address
500 ROUTE 89 NORTH ECRC 1, NORTHERN AZ VA HEALTHCARE, PRESCOTT, AZ 86313
(928) 445-4860

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW-0174I
AZ

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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